Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $407.38	Professional		$53.70	$85.11	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $22.91 / $97.72	Professional	26	$15.85	$22.91	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $245.47 / $263.03	Professional	50	$28.84	$245.47	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $81.28	Professional	TC	$36.31	$44.67	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $93.33	Professional		$52.48	$63.10	$93.33
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $18.20 / $30.20	Professional	26	$16.60	$18.20	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $97.72	Professional		$42.66	$52.48	$97.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.49 / $29.51	Professional	26	$12.88	$15.49	$29.51
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $36.31 / $67.61	Professional	TC	$30.20	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $131.83	Professional		$54.95	$79.43	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $24.55 / $40.74	Professional	26	$17.78	$24.55	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $54.95 / $89.13	Professional	TC	$38.90	$54.95	$89.13
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $81.28 / $81.28	Facility	26	$41.69	$81.28	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $416.87	Professional		$52.48	$75.86	$416.87
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $22.91 / $114.82	Professional	26	$16.60	$22.91	$114.82
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $302.00	Professional	TC	$35.48	$51.29	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $120.23	Professional		$51.29	$64.57	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $19.95 / $36.31	Professional	26	$16.22	$19.95	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $44.67 / $83.18	Professional	TC	$35.48	$44.67	$83.18